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1386150639
BURTON R DICKERSON
ELKTON, MD
NPI
1386150639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD 1421)
Enumeration Date
2017-12-22
Last Update Date
2017-12-22
Business Address
Mr. BURTON R DICKERSON Substance Abuse ADT
111 E MAIN ST
ELKTON, MD 21921-5996
Phone number: 443-406-3234
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Mailing Address
Mr. BURTON R DICKERSON Substance Abuse ADT
111 E MAIN ST STE B
ELKTON, MD 21921-5996
Phone number: 443-406-3234
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